Individual
CARL ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 MAIN ST, SILVER CREEK, NY 14136-1452
(716) 934-4518
Mailing address
113 MAIN ST, SILVER CREEK, NY 14136-1452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200012
NY
Other
Enumeration date
09/06/2006
Last updated
01/25/2024
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